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Individual

TAMMY CHRISTINE BRACKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4690
(909) 421-5650
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4690
(909) 421-5650

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/17/2024
Last updated
01/29/2024
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